Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.74 / $5,048.00 / $8,294.00	Facility		$986.74	$5,048.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.03 / $925.31 / $1,411.86	Professional		$804.03	$925.31	$1,411.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.01 / $1,052.45 / $1,740.01	Professional		$823.01	$1,052.45	$1,740.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $957.86 / $1,003.06 / $3,714.00	Professional		$957.86	$1,003.06	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,003.62	Facility		$640.00	$640.00	$1,003.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.61 / $1,163.75 / $1,929.62	Professional		$868.61	$1,163.75	$1,929.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.43 / $1,084.71 / $1,280.35	Professional		$847.43	$1,084.71	$1,280.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $918.93 / $1,165.83 / $1,693.32	Facility		$918.93	$1,165.83	$1,693.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,094.00 / $1,238.68 / $1,705.00	Professional		$1,094.00	$1,238.68	$1,705.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $877.74 / $1,127.92 / $3,835.10	Facility		$877.74	$1,127.92	$3,835.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $877.74 / $1,127.92 / $3,835.10	Professional		$877.74	$1,127.92	$3,835.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,074.00 / $21,639.00	Facility		$6,423.00	$11,074.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.97 / $1,048.60 / $1,692.67	Professional		$679.97	$1,048.60	$1,692.67